Dental Anesthesia Techniques Quiz
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Questions and Answers

Which technique for mandibular anesthesia is specifically beneficial for patients with trismus, fractured mandible, and mentally challenged children?

  • Vazirani-Akinosi Technique
  • Mandibular Nerve Block
  • Gow-Gates Technique (correct)
  • IAN Block
  • Which statement regarding local anesthesia is CORRECT?

  • Their main toxic effects are observed in the central nervous and cardiovascular systems. (correct)
  • Preparations containing adrenaline are safe for use on digits and appendages.
  • Lignocaine has a longer duration of action than bupivicaine.
  • Local anesthetics affect large nerve fibers before small nerve fibers.
  • In which stage of general anesthesia does skeletal muscle relaxation occur, and the patient's breathing become regular?

  • Medullary anesthesia
  • Analgesia
  • Surgical anesthesia (correct)
  • Excitement
  • What is the standard gas combination dose for conscious sedation?

    <p>60% oxygen; 40% nitrous oxide (C)</p> Signup and view all the answers

    After administering an inferior alveolar and lingual nerve block, which teeth can be extracted painlessly?

    <p>All teeth in that quadrant on the side of the injection. (B)</p> Signup and view all the answers

    For a surgical procedure expected to be challenging, which local anesthetic provides the longest duration of analgesia?

    <p>Bupivicaine (D)</p> Signup and view all the answers

    A biopsy of the labial alveolar mucosa of the lower right lateral incisor tooth requires anesthetizing which nerve?

    <p>The mental nerve (A)</p> Signup and view all the answers

    A successful inferior alveolar nerve block will result in anesthesia of which areas?

    <p>Lower lip, mandibular teeth, and all gingivae of the mandible. (A)</p> Signup and view all the answers

    Which nerve is responsible for providing sensory innervation to the lower bicuspid teeth?

    <p>Inferior Alveolar Nerve (B), Mental Nerve (D)</p> Signup and view all the answers

    What is the name of the branch of the maxillary nerve that is responsible for innervating the skin of the cheek?

    <p>Buccal Nerve (A)</p> Signup and view all the answers

    Which nerve is responsible for the sensory innervation of the posterior third of the tongue?

    <p>Glossopharyngeal Nerve (C)</p> Signup and view all the answers

    Which branch of the trigeminal nerve is responsible for innervating the muscles of mastication?

    <p>Mandibular Nerve (D)</p> Signup and view all the answers

    What is the name of the nerve that provides sensory innervation to the nasal cavity?

    <p>Ophthalmic Nerve (C)</p> Signup and view all the answers

    Which nerve is responsible for providing sensory innervation to the lower lip?

    <p>Mental Nerve (B)</p> Signup and view all the answers

    Which of the following nerves is NOT a branch of the maxillary nerve?

    <p>Lingual Nerve (B)</p> Signup and view all the answers

    Which of the following nerves is responsible for the motor innervation of the tongue?

    <p>Hypoglossal Nerve (B)</p> Signup and view all the answers

    A successful infraorbital nerve block will produce anesthesia of which of the following?

    <p>Maxillary anterior teeth, their labial gingivae, the upper lip and anterior hard palate (B)</p> Signup and view all the answers

    Which of the following structures travel through the substance of the parotid gland?

    <p>The maxillary artery, retromandibular vein, facial artery and buccal branch of the mandibular nerve (C)</p> Signup and view all the answers

    Which of the following is NOT innervated by the Posterior Superior Alveolar Nerve (PSAN)?

    <p>Buccal soft tissue of Maxillary molars (B)</p> Signup and view all the answers

    What is the clinical significance of the statement, "In patients who have a Le Fort II fracture, a common finding is paresthesia over the distribution of the:...

    <p>Infraorbital nerve (B)</p> Signup and view all the answers

    Which of the following accurately describes a Le Fort I fracture?

    <p>A horizontal fracture separating the inferior portion of the maxilla, extending from the piriform aperture of the nose to the pterygoid maxillary suture area. (D)</p> Signup and view all the answers

    What is the characteristic feature of a Le Fort III fracture?

    <p>Complete separation of the midface at the level of the naso-orbital-ethmoid complex and zygomaticofrontal suture area. (C)</p> Signup and view all the answers

    Which of the following structures is NOT involved in a Le Fort II fracture?

    <p>Mandibular condyle (D)</p> Signup and view all the answers

    What is the primary concern for a patient with a Le Fort III fracture?

    <p>Risk of airway compromise (A)</p> Signup and view all the answers

    Which category of drugs is primarily used to replace substances that are deficient in the body?

    <p>Supplements (B)</p> Signup and view all the answers

    What is the main action of vaccines in the body?

    <p>Prevention (D)</p> Signup and view all the answers

    Sedatives and hypnotics primarily function as what type of drugs?

    <p>Depressants (A)</p> Signup and view all the answers

    Which term describes a group of drugs that interact with a mixed group of receptors?

    <p>Mixed agonist-antagonist (D)</p> Signup and view all the answers

    When a drug has an intrinsic activity of less than 1, it is referred to as what?

    <p>Partial agonist (D)</p> Signup and view all the answers

    Which of the following is NOT a recognized site for drug metabolism?

    <p>Brain (D)</p> Signup and view all the answers

    The process describing the metabolism of a drug as it travels from the gut to systemic circulation is known as what?

    <p>First pass effect (B)</p> Signup and view all the answers

    An intrinsic activity of a receptor with no stimulating effect is demonstrated by which type of drug?

    <p>Antagonist (D)</p> Signup and view all the answers

    Which beta-adrenergic receptor blocking agent is commonly used to treat hypertension?

    <p>Atenolol (Tenormin®) (B)</p> Signup and view all the answers

    What classification do ephedrine, tyramine, and amphetamine belong to?

    <p>Indirect-acting sympathomimetics (C)</p> Signup and view all the answers

    Which method is NOT used to control pain effectively?

    <p>Depression of the autonomic nervous system (C)</p> Signup and view all the answers

    What supplement is often necessary for patients on thiazide diuretics?

    <p>Potassium (D)</p> Signup and view all the answers

    Which dental product is most likely to cause inactivation of fluoride ions?

    <p>Anionic detergent (D)</p> Signup and view all the answers

    Among the adverse reactions of oral contraceptives, which is considered the most serious?

    <p>Thromboembolic disorder (C)</p> Signup and view all the answers

    How does digitalis primarily influence cardiac muscle at therapeutic doses?

    <p>Increases the force of contraction (B)</p> Signup and view all the answers

    Which pharmacologic effect is NOT associated with phenothiazines?

    <p>Anticonvulsant effect (D)</p> Signup and view all the answers

    A patient presents with painful tooth #44 requiring Root Canal Treatment (RCT). Despite three intrapulpal injections, two infiltrations, one intraligamentary injection, one mandibular block, and two hours of waiting, the pain persists. What is the best course of action?

    <p>Consider changing the anesthetic agent. (A)</p> Signup and view all the answers

    Which ion's concentration is reduced in active heart muscle by cardiac glycosides?

    <p>Calcium (C)</p> Signup and view all the answers

    Pretreatment with which drug enhances the hypotensive effect of intravenous acetylcholine?

    <p>Physostigmine (D)</p> Signup and view all the answers

    Excess of which hormone(s) could increase sensitivity to epinephrine?

    <p>Both Parathyroid and Thyroid hormones (E)</p> Signup and view all the answers

    A patient receives an inferior alveolar nerve block prior to premolar extraction. Three minutes later, paralysis affects the forehead, eyelids, upper and lower lips on the same side of the face. This is most likely due to anesthetic diffusion into which structure?

    <p>Auriculotemporal nerve (D)</p> Signup and view all the answers

    A patient receives a test dose of intravenous sedative, experiencing immediate burning pain radiating distally, blotchy skin with blanching, and a weaker pulse in the injected arm. What is the most likely explanation?

    <p>Injection into an artery. (D)</p> Signup and view all the answers

    What is the principal therapeutic action of glucocorticoids?

    <p>Anti-inflammatory (C)</p> Signup and view all the answers

    Under what circumstances would 'fast injection' be used?

    <p>To minimize the risk of aspiration during anesthetic administration. (C)</p> Signup and view all the answers

    Flashcards

    Gow-Gates Technique

    A technique for mandibular anesthesia suitable for trismus and mentally-handicapped patients.

    Local Anaesthesia

    Local anaesthetics mainly affect small nerve fibres first and can be toxic to CNS and cardiovascular systems.

    4 Stages of Anesthesia

    General anesthesia occurs in four stages, including one with relaxed muscles and regular breathing.

    Conscious Sedation Gas Combo

    The recommended gas combination for conscious sedation is often 50% oxygen and 50% nitrous oxide.

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    Teeth Removal Pain-Free

    Inferior alveolar and lingual nerve blocks allow pain-free removal of several teeth on the injection side.

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    Prolonged Analgesia Agent

    Bupivicaine provides the most prolonged analgesia among local analgesics for difficult procedures.

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    Biopsy Nerve Requirement

    To biopsy a lesion on the lower right lateral incisor, local anaesthesia of the mental nerve is required.

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    Inferior Alveolar Nerve Block Effect

    Successful inferior alveolar nerve block will anesthetize the lower lip, mandibular teeth, and labial gingivae of anterior teeth.

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    Infraorbital nerve block

    An anesthetic technique targeting the infraorbital nerve, providing numbness in the maxillary anterior teeth and associated structures.

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    Maxillary anterior teeth anesthesia

    Anesthesia achieved in the maxillary anterior teeth, labial gingivae, and sometimes surrounding tissues.

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    Parotid gland structures

    Key vessels like the maxillary artery and retromandibular vein travel through the parotid gland.

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    Le Fort fractures

    Types of fractures involving the maxilla, with Le Fort I, II, and III describing specific patterns of separation.

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    Le Fort I fracture

    A horizontal fracture through the inferior maxilla, involving the piriform aperture.

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    Le Fort II fracture

    Fracture that separates the maxilla and nasal complex from the cranial base, zygomatic area, and more.

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    Le Fort III fracture

    A complete separation of the midface at the level of the naso-orbital-ethmoid complex.

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    Paresthesia in Le Fort fractures

    Common symptom of sensory loss in areas supplied by the infraorbital nerve following a Le Fort II fracture.

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    Beta-adrenergic blocker

    A drug class used to treat hypertension, like Atenolol.

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    Indirect-acting sympathomimetics

    Drugs like ephedrine that stimulate adrenergic receptors indirectly.

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    Methods to control pain

    Techniques like cortical depression or hypnosis to alleviate pain, except one.

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    Thiazides and potassium

    Thiazide diuretics may require potassium supplementation for balance.

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    Fluoride ion inactivation

    Certain components in dentifrices can neutralize fluoride, like anionic detergent.

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    Oral contraceptive adverse effects

    Most common serious effect of oral contraceptives is thromboembolic disorders.

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    Digitalis effect on contraction

    Digitalis increases the force of contraction in cardiac muscle.

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    Epinephrine vs histamine

    Epinephrine counters histamine by producing opposite physiological effects.

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    Anterior Superior Alveolar Nerve

    Arises as a branch of the infraorbital nerve.

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    Trigeminal Nerve Function

    Provides sensory innervation to the face and oral cavity, except for the posterior third of the tongue.

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    Inferior Alveolar Nerve Origin

    A branch of the posterior trunk of the mandibular nerve.

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    Nerve Given at Cranium

    The middle meningeal nerve branches from the maxillary nerve at the cranium.

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    Xerostomia Cause

    A complication from mandibular blocking due to the association of the lingual nerve and the chorda tympani.

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    Mental Nerve Innervation

    Innervates the lower lip, chin, and mucosa lower bicuspid, but not the lower bicuspid itself.

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    Mental Nerve Anesthesia Effects

    Injection affecting the area of the mental nerve will also anesthetize the chin and lower lip.

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    Effect of Excess Local Anesthesia

    Too much can result in paresthesia, trauma, trismus, or xerostomia.

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    Role of supplements in medicine

    Drugs used to compensate for deficiencies in the body.

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    Fundamental action of vaccines

    Vaccines primarily function to prevent diseases.

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    Sedatives and hypnotics

    Drugs that act as depressants to calm the mind.

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    Agonist

    A substance that activates receptors and has intrinsic activity.

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    Antagonist

    A substance that binds to receptors but does not activate them.

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    First pass effect

    Metabolism of the drug before it reaches systemic circulation.

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    Pain definition

    An unpleasant sensory and emotional experience related to tissue damage.

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    Pain threshold

    The minimum intensity of stimulus required to perceive pain.

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    Pain management after RCT

    Best managed by a second inferior alveolar nerve block after inadequate relief from initial anesthetics.

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    Cardiac glycosides effect

    Reduce sodium concentration in active heart muscle, influencing cardiac contractility and rhythm.

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    Acetylcholine blood pressure

    Pretreatment with physostigmine potentiates acetylcholine's ability to lower blood pressure.

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    Hormones and epinephrine sensitivity

    Excess thyroid and parathyroid hormones increase sensitivity to epinephrine.

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    Inferior alveolar block complications

    Paralysis of facial muscles indicates diffusion into the auriculotemporal nerve or otic ganglion.

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    IV sedation test dose reactions

    Severe burning and blotchiness may result from an injection into an artery.

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    Glucocorticoids' main action

    The principal therapeutic action is anti-inflammatory, affecting immune response.

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    Epinephrine and thyroid relationship

    Thyroid hormone excess enhances responsiveness to epinephrine, affecting metabolism.

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